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Education and Awareness in the Workplace: A Key to a Dementia Friendly Community

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Education and Awareness of Dementia within the workplace.

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Education and Awareness in the Workplace: A Key to a Dementia Friendly Community

  1. 1. Education and Awareness in the Workplace A Key to a Dementia- Friendly Community
  2. 2. Presented by: Kim Jacquart Franzen Dementia Care Specialist ADRC of the Lakeshore 4319 Expo Drive – P.O. Box 935 Manitowoc, WI 54220
  3. 3. Objectives: •Basic Statistics of Dementia •Types of Dementia •Early Warning Signs •Strategies to Improve Your Brain Health •Importance of Taking Care of Yourself •Acknowledging Dementia and Caregiving in the Workplace •How to Communicate with Someone with Dementia •Creating a Dementia Friendly Community
  4. 4. Basic Statistics
  5. 5. What is Dementia? •Dementia is an umbrella term describing symptoms that affect thinking and function severely enough to interfere with daily life. •Affects more than one of the following areas of the brain: recent memory, language, visiospatial functioning (symbols) and executive functioning (planning). •A general term of a group of more than 70 brain disorders with Alzheimer’s being the most common type.
  6. 6. Common Types of Dementia •Alzheimer’s Disease (60 – 75%) •Dementia with Lewy Bodies (20%) •Vascular Dementia – caused by “mini strokes” •Mixed Dementia – AD + Vascular or Lewy Body •Frontotemporal Dementias (e.g. Pick’s disease) starts young and progresses quickly •Degenerative Diseases (Lou Gehrigs, Huntington’s, Multiple Sclerosis, Multiple brain traumas, Parkinson's) •Wernicke’s Syndrome – chronic alcohol damage •Creutzfeldt-Jakob disease (like mad cow)
  7. 7. Reversible Causes of Dementia Drugs Emotional changes (depression) Metabolic conditions Eyes & Ears Nutrition Tumors Infection Alcohol
  8. 8. Effects of Dementia Changes in:  Memory  Language  Perception  Recognition  Purposeful Movement  Complex Thought  Short-term Memory  Recalling events/people  Learning new things More likely to: Repeat questions Become easily distracted Lose things Over or under react Fixate on topics/objects Have dulled emotions Dwell in the past Issues with daily activities
  9. 9. Dementia Umbrella Gradual, Progressive Decline Senses That impacts everyday Life Reversible Irreversible -Depression -Alzheimer’s Disease -Infections -Vascular Dementia or -Medication/Drug Interaction Multi-Infarct -Hydrocephalus -Frontotemporal Dementia -Vitamin/Mineral Deficiencies -Parkinson’s Disease -Hypo/Hyperglycemia -Creutzfeldt-Jakob Disease -Lewy Body Disease -Huntington’s Disease Memory Problem Solving Mood Personality Behavior Communication Language Judgment
  10. 10. 10 Warning Signs of Dementia Signals of Impaired Thinking Processes 1. Memory loss that disrupts daily life 2. Challenges in planning or solving problems. 3. Difficulty in completing familiar tasks. 4. Confusion with time and place. 5. Trouble understanding visual images and spatial relationships. 6. New problems with words in speaking or writing. 7. Misplacing things and losing the ability to retrace steps. 8. Decreased or poor judgment. 9. Withdrawal from work or social activities. 10. Changes in mood and personality
  11. 11. Risk Factors •Family History and Genetics •Increasing age - after 65 likelihood doubles every 5 years Over age 85 you have a 50% chance of having dementia •Severe Head Injury •Unhealthy Lifestyle –Heart Disease, Diabetes, Stroke, High Blood Pressure or High Cholesterol •Failure to stay physically/cognitively active
  12. 12. Benefits of a Timely Diagnosis •Have a helpful framework for understanding symptoms •An opportunity to build the right medical team •Access to existing medications that can provide some relief •Participate in Alzheimer’s clinical studies to take greater control of your healthcare and benefit future generations •Person diagnosed can participate in decision about treatment and care •Plan for future care options, including identifying social and community resources to support independence as long as possible •Access community resources through the Alzheimer’s Association or other organizations to find information and support •Enhanced safety and security
  13. 13. Strategies to Improve Brain Health •Stay Physically Active •Adopt a Brain-Healthy Diet •Remain Socially Active •Embrace Spirituality •Manage Stress •Stay Mentally Active
  14. 14. Stay Physically Active •Does NOT have to be strenuous or time consuming  –Do it regularly and for about 30 min •Aerobic exercise improves oxygen consumption  –Improves brain function and reduces brain cell loss •Walking, bicycling, gardening, tai chi, yoga, Walk to End Alzheimer’s • Try Chair Exercises
  15. 15. Adopt a Brain-Healthy Diet
  16. 16. Remain Socially Active •Social activity makes physical and mental mental activity more enjoyable –Reduces stress –Helps maintain healthy connections among brain cells • Travel • Stay active in the workplace • Volunteer in community groups and causes • Join book and card clubs, salsa, zumba, (or ballroom) dancing or other social groups
  17. 17. Embrace Your Spirituality •Spirituality is personal, and everyone’s spiritual path may be unique •Those who use their spirituality to cope with life, experience many benefits to their health and well-being • Spirituality and religious activity have been a source of comfort and relief from STRESS for multitudes of people
  18. 18. Manage Stress  Stress Contributes To:  •More Inflammatory Diseases  •Diminished Lifestyle  •Poor Quality (or lack of) Sleep  •Increased Dementia  •Higher Rate of Accidents  •Poor Eating Habits  •Increased Cancer  •Increased Heart Attack, Stroke and Diabetes
  19. 19. Stay Mentally Active •Stay curious and involved – commit to lifelong learning •Read, write, work crossword or other puzzles •Attend lectures and plays •Play games- Jigsaw, Sudoku, Dominos, Poker, Scrabble, Rook, etc •Garden •Try memory exercises
  20. 20. Importance of Taking Care of Yourself Care for Yourself- Your Oxygen Mask First  -Listen to Your body  -See your doctor  -Exercise  -Eat Right  -Stay Connected  -Maintain Hobbies
  21. 21. Taking Care of You  -Let Go of Perfection  -Cleansing Breaths  -Ask for help  -Accept help  -Take a Break- respite  -Get support
  22. 22. Taking Care of You (2) •There are risk factors you CANNOT change •There are strategies that are within your control! •Adopting healthy habits will benefit your Body & Brain… and may delay or prevent the onset of Dementia •Your future is in your hands •Idea: Pick one “do-able” change per month and just focus on making that change your new “Habit”!
  23. 23. Questions/Concerns
  24. 24. Questions/Concerns
  25. 25. Communicating With Someone Who Has Dementia From the viewpoint of the person with dementia “Even if our perception of time and space has changed, we live in a world where relationships, objects, and situations matter We may not be able to speak about the meaning environments have, but a sense of meaning and importance remains in our lives”
  26. 26. Dementia impairs our memories  We can forget where we put things  We can forget what we have been doing recently  We can forget people’s names, even people close to us (*so please don’t take it personally)  We can forget we have done something and so repeat doing or saying things  Our strongest memories may be for events from the past (*a key to conversation)
  27. 27. Dementia impairs our reasoning and ability to learn  We can find abstract notions like money, rules, and values confusing  We can find the results of actions hard to predict  We can misunderstand the pattern on the floor  We can find new places disorienting  We can have difficulty getting used to unfamiliar objects or routines  We forget where basic things like the restrooms are
  28. 28. Dementia causes changes in our sensory-motor function  We may not be able to smell, feel, and see things (especially bland colors that blend)  We may get agitated if we get too hot  We need good lighting to give us as much information as possible about our surroundings and can become confused if there is not enough  We may have difficulty navigating changes of level on the floor
  29. 29. Dementia raises our levels of stress We can find large groups difficult We can become anxious in situations we coped well in before  Too much noise makes us confused We are very sensitive to things like alarms We benefit from calmness
  30. 30. Our core needs To be useful To have our self-esteem boosted To still be able to care for ourselves To give and receive love and others
  31. 31. How do I physically approach someone who has dementia?  Approach from the front within the line of vision  Calm, positive, friendly, smile  Good eye contact
  32. 32. How do I interact successfully with someone who has dementia?  Never argue  The person with dementia is always right  Is there a need?  Ask a simple question, keep it short and speak slowly, repeat and allow time for a response  Help the person to feel in control  Show you care  Don’t take things personally  Acknowledge feelings  Put yourself in their position  Watch your mood and body language (persons with dementia tend to mirror the emotions of those around them) Calm begets calm. Try to remain happy and positive.  Logic and reason do not apply  Pay attention to body language and non-verbal messages  Listen to verbal messages, can you build on them?  Accept people where they are
  33. 33. Responses that might be helpful  I will be here if you need anything  Don’t worry. I’ll take care of it.  Your are pretty important around here.  If you need anything, just let me know.  That’s a good idea. I’ll have to try that!  I do silly things like that, too.  Between the two of us, we will be OK.  You are a pretty special person.  Wow, you are so smart!  Thank you, I couldn’t have done it without you.  You always look out for me.
  34. 34. What do you know about their Life Story? Who are they? What do you know about them? What did they used to do? What did they enjoy? What’s important to them? Learn by listening and observing, talk with the caregiver Build on the comments they make (if something works, remember it- a favorite story they keep repeating)
  35. 35. All behavior is communication  An unmet need? Bathroom, hungry, uncomfortable, too hot/cold, illness, restless/bored?  Pacing of Activities/flow of the day  Personal routine preference
  36. 36. If all behavior is meaningful, what is this person trying to communicate?  Try to stop thinking, “She’s confused, she has dementia.  Starting thinking, “I am confused, I don’t know what she’s trying to tell me”  Instead of, “how can I control this person?”  Think, “How can I accommodate this person?”
  37. 37. Questions/Concerns
  38. 38. What is a Dementia Friendly environment?  Accessible environments that enable people to reach, enter, use and move around the places and spaces they need or wish to visit, regardless of any physical, sensory, or cognitive impairment.  Safe environments so people can independently use, enjoy, and move around places and spaces freely without fear of harm
  39. 39. Designing Dementia Friendly Environments  Purposeful destinations: bright colors, opportunities to use their remaining abilities, favorite things*, these spaces allow them to engage in interests spontaneously; to move around this space with a sense of meaning and importance allowing for engagement  Welcoming atmosphere: quiet, calm, relaxing, positive, friendly  Wayfinding cues to help them understand where they are, what is expected of them in this space, and which way they need to go  Make up for reduced sensory, cognitive, and motor ability to support independence  Lighting should be 3-5 times brighter  Flooring, pathways should be clear, clutter free, color contrasts should mark changes in floor level and level changes clearly marked, hand-rails contrast with wall colors, non-glare surfaces
  40. 40. A dementia friendly community enables those with dementia to Find their way around and be safe Access the local facilities that they are used to and where they are known (such as banks, shops, cafes, cinemas, and post offices) Maintain their social networks so they feel they continue to belong
  41. 41. Dementia Friendly Communities A community that shows a high level of public awareness and understanding of dementia In which it is possible for the greatest number of people with dementia to live a good life Where persons with dementia are enabled to live as independently as possible and to continue to be part of their community Where they are met with understanding and given support where necessary
  42. 42. Goal Goal =To make quality of life measurably better in the Manitowoc County Community by easing the fear and isolation associated with dementia, and by increasing access to the resources people need to live well with dementia.
  43. 43. Resources Kim Jacquart Franzen Dementia Care Specialist, ADRC 920-683-4180 Alzheimer’s Association 24/7 helpline 1-800-272-3900 ADRC M-F 8:30-4:30 1-877-416-7083 See brochures and handouts
  44. 44. Questions/Concerns  Thank you for being here today  Thank you for wanting to learn  Thank you for caring enough to become aware and educated

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